Providence Hospice and Home Care of Snohomish County

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PROVIDENCE HOSPICE AND HOME CARE OF SNOHOMISH COUNTY

Practice address

2731 Wetmore Ave
Suite 520
Everett, WA 98201-3571

Phone

(425) 261-4800

NPI assigned

Sep 20, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Paula S Beatty, RN BSN

Title

Executive Director

Phone

(425) 261-4800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093812166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2731 WETMORE AVE",
            "address_2": "SUITE 520",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013571",
            "telephone_number": "425-261-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2731 WETMORE AVE",
            "address_2": "SUITE 520",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013571",
            "telephone_number": "425-261-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE HOSPICE AND HOME CARE OF SNOHOMISH COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEATTY",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "425-261-4800",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9003856",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Providence Health & Services-Washington
• Providence Health & Services-Washington
• Providence Health & Services-Washington
• Providence Health & Services-Washington
• Providence Health & Services-Washington
• Providence Regional Medical Center
• Providence Wa Anesthesia Services, P.C.
• Ashley J Pruitt
• Jill N Pruss, MA, LMHCA
• John D Pryor, M.D.

• All providers in Everett, WA
• Home Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.